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Gastric and Oesophageal Surgery serves as a detailed, evidence-based guide to benign and malignant oesophageal and gastric surgery, covering in a practical and accessible manner the myriad surgical conditions that trainees and consultants in the area will face. The succinct writing style gives the reader excellent ease of reference and a thorough 'how-to' on all major surgical processes. A comprehensive, highly topical evidence base is supplemented by a wealth of expert advice, which is easily accessed as practical tips within clearly laid out chapters. This makes the resource an ideal revision aid for the FRCS General Surgery exit examinations, although its breadth and depth of coverage will benefit new consultant surgeons as well as junior surgical trainees. Highly illustrated with over 110 line drawings and photographs, it is the ideal resource to refresh the memory and consolidate knowledge in clinic or before surgery.Less

An essential introduction to the theory and practice of head and neck radiology, as well as a guide to choosing and performing imaging investigations and minimally invasive procedures.

Excellent end of life care for people with heart failure is challenging but possible. In easily digestible summaries, this resource presents practical advice about how and when to integrate a palliative care approach alongside standard heart failure management. Less

Heart failure is an important and ever expanding sub-speciality of cardiology, and many health care professional bodies are now developing specialist expertise in heart failure. With advances in medical therapy, the prognosis of the condition has improved dramatically. Whereas once heart failure was a pre-terminal diagnosis, now for many it is treatable. However, some patients remain symptomatic and at high risk of death despite maximal medical therapy. These patients can benefit from a range of novel device therapies. For those who remain symptomatic despite optimal treatment cardiac transplantation remains an option. This new edition of this online resource comprehensively covers all aspects necessary to manage a patient with heart failure. It gives simple, clear advice on the diagnosis, investigation and treatment options available highlighting the current evidence-base. The chapters provide concise and objective information to guide all health care professionals involved in the modern day multi-disciplinary management of the syndrome, and the title is set out logically to mirror the patient journey in heart failure.Less

This resource provides practical guidance on end of life management for patients with renal disease. It is presented in easily accessible, bullet point style, and is illustrated with case histories from real life patients, and drug tables. Less

Antimicrobial agents either kill (bactericidal) or inhibit (bacteriostatic) the growth of a microorganism by targeting specific unique bacterial sites or metabolic pathways. Common antibiotic adverse effects and toxicities include allergic reactions, numerous possible toxicities, alteration of human flora, drug interactions, and promoting of antibiotic resistance. Presumptive and empirical therapy relies on the clinical syndrome and anatomical site of infection. Factors to consider when choosing empirical therapy include identification of the organism, the estimated benefit to the patient, the probable susceptibility of the isolated (or suspected) pathogen based on laboratory results or local epidemiological parameters, and pharmacokinetic/pharmacodynamic considerations. Host factors, including age, immune deficiency status, and other underlying conditions, should always be considered when choosing an antibiotic. There are few absolute indications for the prophylactic use of antimicrobials, and this is one area where misuse is common. The susceptibility of common pathogens is often predictable, allowing adequate empirical treatment. The main driver for the development of antibiotic resistance is the inappropriate use of antibiotics. Bacteria may be naturally resistant or may acquire resistance by means of DNA mutation or acquisition of resistance-conferring DNA from another source (e.g. plasmids). Mechanisms of antibiotic resistance include chemical modification of antibiotics, reduced uptake into cells, active efflux from cells, target site modification, overproduction of antibiotic target, and metabolic bypass of inhibited reaction. Control of resistance may be achieved through adherence to prescribing guidelines, restriction policies that reduce the use of certain antibiotics, and antimicrobial stewardship programmes.Less

Readable, practical, and concise, the Oxford Specialist Handbook in Nuclear Cardiology is a self-contained guide to this cardiac imaging subspecialty. Including both technical and clinical aspects, it provides a foundation of essential knowledge common to practitioners from any background.This title covers radiation physics, biology and protection, and addresses all areas of imaging including the design and operation of the gamma camera (including solid-state cameras), single photon emission computed tomography (SPECT) acquisition and processing, and image interpretation and writing of reports. Stress testing and radiopharmaceuticals are explained in detail, as is the evidence base underpinning myocardial perfusion scintigraphy. Newer radionuclide imaging techniques are well covered (e.g. phosphate scintigraphy in cardiac amyloidosis), as is the expanding field of cardiac positron emission tomography (PET). Fully updated with coverage of new indications for gamma camera imaging, increased focus on attenuation correction and SPECT-CT, and detail on the design use and clinical implications of solid-state gamma cameras throughout, this second edition of the essential text for nuclear cardiology trainees and practitioners is fully illustrated with colour plates to aid clinical practice. Presented in the bestselling Oxford Handbook format, Nuclear Cardiology provides core knowledge for those training in the subspecialty, whether at a basic or advanced level or from a medical or technical background, and is a key resource for those seeking to accredit in the subspecialty.Less

This new edition covers all areas associated with treating acute or chronic respiratory problems in children. It discusses the approach to clinical problems, specific conditions, supportive care and practical procedures, and includes vital appendices covering specific tests and statistics. Designed as a practical guide, it serves general and specialist paediatricians at both consultant and trainee level. Divided into five parts, it provides a practical approach to acute and non-acute clinical problems;, detailed information about common and more rare clinical conditions, useful information on supportive care, including the use of non-invasive ventilation and the care of a child with a tracheotomy; and details on how to perform several practical procedures, such as ciliary brush biopsy, flexible bronchoscopy, and inserting a chest drain. The appendices provide information on lung function testing and tables of age-corrected normal values for several respiratory parameters.Less

In some ways, movement disorders are amongst the most obvious of neurological disorders; without any special examination techniques beyond simple observation, most movement disorders can be readily appreciated. But how can one take these basic observations and translate them into diagnostic formulations, appropriate investigation, and even treatment? In a specialty where there are few diagnostic tests, and where lists of differential diagnoses of the six main movement disorders seem to expand every week, how does the clinician approach the patient with a movement disorder? This book is designed to guide the reader through this process. This book attempts to build a route from careful targeted history taking and examination through to appropriate investigation and practical treatment advice. Although focus has been kept on the commoner movement disorders, in particular Parkinson’s disease, it has also been ensured that the book is comprehensive by including details of rarer movement disorders, highlighting their clinical features and explaining when they should be considered in the differential diagnosis.Less

Practical Management of Complex Cancer Pain gives advice on advanced pain management techniques for cancer pains. Emphasis is placed on the suitability and selection of patients for different invasive and complex procedures based on the patient's history. Case histories provide compressive insight into the complexities of holistic management, with pain being only one of the factors that distress patients and families. This resource also covers cancer pain management for patients in a community setting, including the collaboration between pain and palliative medicine.Less

This second edition of Vascular Surgery has been fully revised and updated to meet the needs of the vascular surgery trainee. It provides practical advice on all commonly encountered peripheral vascular problems. It focuses on surgical detail, but also carries background information on presentation and discusses preoperative investigation and postoperative management. It also provides relevant information for use when seeking patient consent. Each explanation of an operation carries the latest OPCS code, which is increasingly important in recording surgical activity.Less